Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HCHG RAD CT PELVIS W
Ulm, MN
See all hospitals reporting CPT 72193 →Price type
Allina Health Systems’s median price of $1.2k is 156% above the median hospital's median price ($469), higher than 78% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $171.73 | $171.73 | $171.73 – $171.73 |
| 2 | Medicare medicare (n) facility · fee schedule · outpatient | $180.77 | $180.77 | $180.77 – $180.77 |
| 3 | Bcbs Mn bc pmap (n) facility · other · outpatient | $243.04 | $243.04 | $243.04 – $243.04 |
| 4 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $428.31 | $428.31 | $428.31 – $428.31 |
| 5 | Medica medica pmap (n) facility · per diem · outpatient | $499.00 | $499.00 | $499.00 – $499.00 |
| 6 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $600.31 | $600.31 | $600.31 – $600.31 |
| 7 | Bcbs Mn bc premier(n) facility · other · outpatient | $771.30 | $771.30 | $771.30 – $771.30 |
| 8 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $907.32 | $907.32 | $907.32 – $907.32 |
| 9 | Medicaid medicaid ma (n) facility · other · outpatient | $931.86 | $931.86 | $931.86 – $931.86 |
| 10 | Medica medica medicare (r) facility · fee schedule · outpatient | $945.77 | $945.77 | $945.77 – $945.77 |
| 11 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $957.96 | $957.96 | $957.96 – $957.96 |
| 12 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $973.97 | $973.97 | $973.97 – $973.97 |
| 13 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $989.76 | $989.76 | $989.76 – $989.76 |
| 14 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1,304 | $1,304 | $1,304 – $1,304 |
| 15 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1,317 | $1,317 | $1,317 – $1,317 |
| 16 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1,409 | $1,409 | $1,409 – $1,409 |
| 17 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1,423 | $1,423 | $1,423 – $1,423 |
| 18 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $1,490 | $1,490 | $1,490 – $1,490 |
| 19 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $1,703 | $1,703 | $1,703 – $1,703 |
| 20 | Cigna hpi cigna (n) facility · other · outpatient | $1,741 | $1,741 | $1,741 – $1,741 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $1,788 | $1,788 | $1,788 – $1,788 |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $1,788 | $1,788 | $1,788 – $1,788 |
| 23 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $1,788 | $1,788 | $1,788 – $1,788 |
| 24 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1,801 | $1,801 | $1,801 – $1,801 |
| 25 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1,819 | $1,819 | $1,819 – $1,819 |
Last updated: Jun 16, 2026
See CT scan of pelvis with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.